“I did not think anyone would be able to give me so much variety and make everything taste so good with such limited ingredients....due to my SEVERE food allergies."

April F. - allergic to wheat, gluten, soy, dairy, eggs, chicken and beef, with Candida issues

Food Questionnaire

Fill out our food questionnaire to get started with a customized meal delivery service!

Your First Name *

Your Last Name *

Other Adults (Names)

Children (Names and Ages)

Address

City

State

Zip Code

Preferred Contact Number *

What day and time is best to reach you by phone? *

Preferred Email Address *

How did you hear about Savor? *

If you Googled us, what were the keywords you used?

Please check the boxes of the items that

you like only and place notes in the comment section.

MEATS

Beef (steak/roasts/ground round) Steak cooked

Pork (chops/roasts/ribs/bacon/ham/ground)

Lamb (chops/stew/ground/roasts)

Meatloaf

Bison

Comments (Meats)

POULTRY:

Chicken (breasts/thighs/ground, etc.)

White Meat Dark Meat Mixed

Turkey (breasts/smoked/ground, etc.)

Chicken or turkey meatloaf

Comments (Poultry)

FISH/SHELLFISH

Fish (bass, yellowtail, orange roughy, salmon, snapper, etc.)

Shrimp

Scallops

Crab

Lobster

Comments (Fish/Shellfish)

SALADS

Fresh Green (choice of greens/lettuces, such as Romaine, red leaf, bibb, mixture, spinach, etc.)

Fruit in your salad

Salads as a main dish

Comments (Salads)

SALAD DRESSINGS (List other salad dressings in the comments)

Ranch

Vinaigrette (any)

Comments (Salad Dressing)

SOUPS/STEWS

Creamed

If you checked creamed, name type(s)

With meat/poultry?

Soups/Stews as a main dish?

Comments (Soups/Stews)

VEGETABLES (List vegetables you will not eat in the comments)

Green (peas, green beans, spinach, asparagus, peppers, cabbage, pea pods, celery, brussel sprouts, mustard greens/greens, broccoli, zucchini, avocadoes, poblanos, okra, kale, swiss chard)

Yellow (corn, wax beans, squash, peppers)

Red (pimento, red cabbage, beets, tomatoes, peppers, sweet potatoes/yams, carrots)

White (cauliflower, potatoes, parsnips, water chestnuts, bamboo shoots, bean sprouts, onions, mushrooms, leeks)

Beans (black, ranch-style, pinto, kidney, lima, white, pink, black-eyed peas, split peas)

Capers, black olives, green olives, coconut, artichokes, eggplant

Comments (Vegetables)

GRAINS

Rice (brown, white, wild, pilaf)

Couscous

Quinoa

Farro

BREADS

Cornbread

Muffins

Pancakes / Waffles

Tortillas (corn, white or wheat)

Comments (Grains and Breads)

SEASONINGS (List seasonings you will not eat in the comments)

Oregano, sage, rosemary, tarragon, fennel, cumin, cilantro, paprika, parsley, celery, chili powder, curry

Fresh garlic, parsley

Pepper - white, black or red

Salt - Kosher (food is prepared very low in salt so that you may season to taste)

Comments (Seasonings)

FATS/OILS

Butter

Olive Oil and other healthy oils (sesame, walnut, pecan, avocado, truffle, etc.)

Comments (Fats/Oils)

Is it okay to cook with wine? *

Yes No

MILK AND MILK PRODUCTS

(List any cheeses you do not like in the comments)

Cheeses (parmesan, cheddar, Swiss, muenster, fontina, blue, feta and goat etc.)

Milk (skim, 1%, 2%, whole)

Yogurt

Sour Cream

Comments (Milk Products)

EGGS

Whole

Yolks Only

OTHER

Dried Fruits

Nuts (pecans, peanuts, walnuts, almonds, cashews, Brazil, etc.)

Pizza

Comments (Eggs and Other)

Fruits disliked

List any known food allergies

Spicy foods - bland/mild/moderate/very hot

Do you have any favorite recipes that I can prepare for you?

Cuisines liked (Mexican/Curries/Italian, Home-style)

Favorite food/restaurants

Which meals (Breakfast, Lunch, Dinner, Snacks and Dessert)

Number days a week you/family will eat prepared food

Number of servings for each meal

Portion Control (Yes or No)

Service Frequency (weekly, bi weekly, bi monthly, monthly)

Sides with service (1 side with each entree or 2 with each entree

Organic or Non-organic groceries

Comments / Questions

Enter your initials to complete your questionnaire *

Have any questions or concerns? Feel free to leave any questions you don't know the answer to blank or give us a call. We look forward to setting up your meal delivery service that fits best with your lifestyle and dietary needs and preferences!

Savor Culinary Services

800 W. 5th St.
Fort Worth, TX 76102

Phone: 817-277-3031
Email: [email protected]

817.277.3031

Serving Fort Worth, Arlington, Mansfield, Keller, Colleyville, Southlake, Dallas and surrounding areas